Do you share this street address with any other businesses (including any other businesses you own)?

Yes

No

Is the above location the only location of your business? If not, please list the addresses of your other locations and what types of addresses they are (office, storefront, etc.).*

Where do you do business with your customers: at your address or at theirs?*

We do business primarily at our location

We do business at our customer's location

We do business both at our location and our customer's location

Office Phone*

Do you use this phone number for any other locations or other businesses?*

Yes

No

Please list all former / alternate business names, addresses, and phone numbers for the location(s) you’d like our help with.

Your Website

Website URL

Is this the only website you use for this business?

Yes

No

If no, please list your other websites.

Do you have the ability to make changes to your website whenever you’d like?

Yes

No

Not sure

Who purchased your website hosting and domain name?

Have you ever experienced sudden and steep drops in traffic or rankings in Google?

Yes

No

Not sure

Please detail the sudden and steep drop in traffic*

Do you have any plans to redesign your site, rename your website, rebrand your business, or move to a new business address in the foreseeable future?

Yes

No

Not sure

Please describe the planned change(s). If a new site is currently in the works, please write down the URL of the demo / staging site.*

Your Google Listing(s)

Has your Google Places page ever “disappeared” or taken a severe hit in rankings, to your knowledge?

Yes

No

Not sure

Please provide detailsof the loss or drop in rankings

Do you have access to your Google Places page? (In other words, could you make edits to your page right now?)

Yes

No

Not sure

What are 1-10 keywords for which you’d most like to rank in Google?

If you had to pick ONE most-important service or search term to get visible for, what would it be?

What is the specific city / geographical area you’d like to be visible in, ideally?

How do you currently attract most of your customers / clients / patients? (E.g. word-of-mouth, AdWords ads, etc.)

Do you have any notable rankings in Google? If so, please list at least a few keywords you currently rank for.

example:
dentist middletown, ny,
family dentist goshen ny

Have you listed your business on sites like Yelp, Angie’s List, etc.? If so, who has the login info for those listings?

If we suggested you should ask some of your customers / clients / patients to write reviews for you, how willing would you be to ask them? (Using a scale of 1-10: 1 meaning you refuse to ask, 10 meaning you’re totally motivated.)

Please enter a value between 1 and 10.

If we recommend that you write a few pages of info about your services, would you or someone in your company be willing to write those pages (with our guidance)?

Yes

No I would prefer to use copywriting services

Not sure

Have you ever tried to “build links” to your website, or paid someone else to do so?

Yes

No

Not sure

Your Marketing Goals

What do you consider your biggest marketing challenge?

How urgently do you feel you need more customers / clients / patients? (Let’s use a scale from 1-10: 1 being fairly comfortable, 10 being really urgent..)